依从性对急性盆腔炎治疗效果的影响

Influence of compliance on treatment effect of acute pelvic inflammatory disease

目的探讨患者依从性在急性盆腔炎治疗过程中的意义,并分析影响依从性的一系列因素。方法对106例经规范化治疗后好转的急性盆腔炎患者进行随访调查,以问卷形式了解患者经过急性期的治疗后,疾病的转归情况(痊愈、复发)以及巩固治疗期继续服药、个人卫生状况、生活习惯的依从性。结果在巩固治疗期间,服药或个人卫生状况依从性良好患者的复发率明显比依从性差者低,分别为45.8%、41.5%,差异有统计学意义(P<0.05),服药和个人卫生状况均依从患者的复发率为22.4%,比单项依从者低,差异有统计学意义(P<0.05);影响患者服药依从性的因素有年龄、职业、经济状况、文化程度等,差异有统计学意义(P<0.05),而与个人卫生状况依从性有关的因素为婚姻状况、性伴侣饮食习惯等,差异有统计学意义(P<0.05)。结论良好的依从性是急性盆腔炎治疗成功的一个重要因素,医生只有根据不同类型的患者采取相应的策略,方能在治疗上取得突破。

Objective To explore the significance of the patient compliance in the treatment of acute pelvic inflammatory disease（PID）and to analyse its influencing factors.Methods 106 cases of improved acute PID by the standardized treatment were performed the follow-up questionnaire survey,including the disease outcome（cure and relapse） after acute phase treatment,the continuous medication during the consolidation treatment period,personal hygiene and living habit compliance.Results In the period of consolidation treatment,the relapse rates in the patients with good compliance in continuous medication or personal hygiene were 45.8% and 41.5% respectively,which were significantly lower than those in the patients with poor compliance（P0.05）.The relapse rate in the patients with good compliance in both aspects was 22.4%,the comparison with single compliance showed statistical difference（P0.05）.The factors affecting the medication compliance included age,occupation and so on,the comparison showing statistical significance（P0.05）;while the factors related with the personal hygiene and living habit were marriage,food habit and so on,the comparison showing statistical significance（P0.05）.Conclusion Good compliance is one of important factors in the successful treatment of acute PID.Adopting the corresponding strategy only according to different types of the patient,doctor can get breakthrough in the treatment of PID.